Provider Demographics
NPI:1912890021
Name:NACCARI, VINCENT
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:NACCARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8115 E SAINT BERNARD HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT BERNARD
Mailing Address - State:LA
Mailing Address - Zip Code:70085-5424
Mailing Address - Country:US
Mailing Address - Phone:504-682-5236
Mailing Address - Fax:504-682-6654
Practice Address - Street 1:8115 E SAINT BERNARD HWY
Practice Address - Street 2:
Practice Address - City:SAINT BERNARD
Practice Address - State:LA
Practice Address - Zip Code:70085-5424
Practice Address - Country:US
Practice Address - Phone:504-682-5236
Practice Address - Fax:504-682-6654
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.011893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist